Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage:
SBP < 140 - 160 - If ? raised ICP: MAP > 80
Spontaneous ICH:
SBP < 140 - 180 If ? raised ICP: MAP > 80
Acute Ischemic Stroke - TPA Candidate:
Before TPA: SBP < 185, DBP < 110:
For 24 hours after TPA: SBP < 180, DBP < 105
Acute Ischemic Stroke - Not TPA Candidate:
If SBP >220 or DBP > 120: ↓BP by 15% over 24 hours
Hypertensive Encephalopathy:
↓BP by 20% in first hour
Hemorrhagic Shock:
Can tolerate lower BP (SBP>70-90, MAP>65)
Neurogenic Shock
MAP > 85
Traumatic Brain Injury
Age 50-69: SBP > 100
Age <50, 70+: SBP > 110
If ?raised ICP: MAP > 80
If BP very high (>200): Treat pain
Dr. Sarah Foohey @SarahFoohey
#emergency #bloodpressure #targets #goals #management #hypertension #reduction
